Drug & supplement interaction

Isopropylnorsynephrine + Acetaminophen, Caffeine, Dihydrocodeine

Acetaminophen, Caffeine, Dihydrocodeine brand names: Panlor DC, Panlor SS, DHC Plus.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Isopropylnorsynephrine has a moderate interaction with Acetaminophen, Caffeine, Dihydrocodeine. Theoretically, taking isopropylnorsynephrine with stimulant drugs might have additive effects and increase the risk of adverse cardiovascular effects.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Isopropylnorsynephrine and Acetaminophen, Caffeine, Dihydrocodeine

Here is the interaction we found between these two, with the evidence behind it.

Moderate

STIMULANT DRUGS

Why this applies to Acetaminophen, Caffeine, Dihydrocodeine

Acetaminophen, Caffeine, Dihydrocodeine falls under STIMULANT DRUGS — the group Isopropylnorsynephrine interacts with.

Theoretically, taking isopropylnorsynephrine with stimulant drugs might have additive effects and increase the risk of adverse cardiovascular effects.
Isopropylnorsynephrine is an investigational beta-agonist and a derivative of synephrine and octopamine, which are stimulant constituents of bitter orange. In vitro research shows that isopropylnorsynephrine is a highly selective, direct-acting beta-adrenergic receptor agonist with positive chronotropic effects. Theoretically, isopropylnorsynephrine may also have stimulant effects.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the piece worth flagging: the product you asked about already contains caffeine, which is itself a stimulant. Isopropylnorsynephrine is also a stimulant that nudges the same heart-related (beta-adrenergic) receptors. So putting the two together can be additive, meaning you might feel a faster or pounding heartbeat, jitteriness, higher blood pressure, or trouble sleeping. This isn't about the acetaminophen or dihydrocodeine portions changing in strength, it's the two stimulants stacking up.

To be fair, this is a theoretical concern based on how these compounds behave, not on solid human studies, so I don't want to alarm you. Still, since the supplement has very little safety research, please run it by your pharmacist or doctor before combining them, especially if you have any heart or blood pressure concerns.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Cohen PA, Travis JC, Vanhee C, Ohana D, Venhuis BJ. Nine prohibited stimulants found in sports and weight loss supplements: deterenol, phenpromethamine (Vonedrine), oxilofrine, octodrine, beta-methylphenylethylamine (BMPEA), 1,3-dimethylamylamine (1,3-DMA
  2. Anderson WG. The sympathomimetic activity of N-isopropyloctopamine in vitro. J Pharmacol Exp Ther 1983;225(3):553-8. DOI

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Isopropylnorsynephrine Also Interacts With Other Medications

Isopropylnorsynephrine has 343 moderate known drug interactions in our database — the Acetaminophen, Caffeine, Dihydrocodeine one above is one of them. If you take anything else, check it against the full list below.

Moderate 343 No known interaction 2,487 (incl. Acetaminophen, Caffeine, Dihydrocodeine)
Taking anything else?

Check Another of Your Medications Against Isopropylnorsynephrine

Covers the 2,830 medications we’ve checked against Isopropylnorsynephrine. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Acetaminophen, Caffeine, Dihydrocodeine

This page covers Isopropylnorsynephrine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Acetaminophen, Caffeine, Dihydrocodeine page lists 303 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Asarabacca (major), Beer (major) and Ephedra (major).

By severity: 15 major · 244 moderate · 44 minor.

From our pharmacist’s overview on the Acetaminophen, Caffeine, Dihydrocodeine page

“Anything else that sedates you is the headline risk with this combination painkiller. Panlor and DHC Plus pair acetaminophen and caffeine with the opioid dihydrocodeine, and 78 of the 303 supplements on file, kava and even beer or wine among them, can deepen the opioid's drowsiness and, at the extreme, dangerously slow breathing.”

Reviewed by 2 · Jul 18, 2026

Open the Acetaminophen, Caffeine, Dihydrocodeine interaction page

One more smart check

Taking Isopropylnorsynephrine as Part of a Dietary Supplement Product? Check It for Interactions

We hold 48 real supplement products containing Isopropylnorsynephrine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Isopropylnorsynephrine. Your product may carry other ingredients that interact with Acetaminophen, Caffeine, Dihydrocodeine too, on top of Isopropylnorsynephrine — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Isopropylnorsynephrine and Acetaminophen, Caffeine, Dihydrocodeine Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Isopropylnorsynephrine
Steady interest

#845 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Acetaminophen, Caffeine, Dihydrocodeine
Top 25%

#684 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Isopropylnorsynephrine

What is Isopropylnorsynephrine?

  • Weight loss and fat burning
  • Pre-workout energy and stimulation
  • Topical fat reduction (creams and gels)
  • Appetite suppression
  • Athletic performance

Isopropylnorsynephrine is a synthetic stimulant chemically related to synephrine, marketed mainly in weight-loss and pre-workout supplements. It has very little human safety or effectiveness research, and as a stimulant it may raise heart rate and blood pressure, so caution is strongly advised. Talk with a pharmacist or doctor before using any product that contains it.

Read the full Isopropylnorsynephrine monograph & all interactions
Keep checking

Other Drugs & Isopropylnorsynephrine

Browse every other medication we’ve checked against Isopropylnorsynephrine — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
343Moderate
0Minor
2,486No known interaction
343 Moderate 2,486 No interaction
Moderate

343 interactions

Showing 60 of 343 moderate interactions — see all 343 on the Isopropylnorsynephrine page.

No interaction 2,486 drugs checked — show the list

We also checked Isopropylnorsynephrine against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,486 medications checked with no known interaction — see the full Isopropylnorsynephrine list.

See the full Isopropylnorsynephrine interactions page
See every supplement checked against Acetaminophen, Caffeine, Dihydrocodeine, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
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Pharmacist Counseling Corner

Taking Isopropylnorsynephrine and Acetaminophen, Caffeine, Dihydrocodeine Together: Common Questions

Can you take Isopropylnorsynephrine with Acetaminophen, Caffeine, Dihydrocodeine?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Isopropylnorsynephrine and Acetaminophen, Caffeine, Dihydrocodeine interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Acetaminophen, Caffeine, Dihydrocodeine and Isopropylnorsynephrine?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.